A Challenging Case of Incisional Hernia Repair in Patient with Multiple Comorbidities

Abstract

Introduction: Development of hernia over previously inserted port site is common complication of laproscopic abdominal surgeries, so treatment needs to be done accordingly especially in comorbid patients.  Presentation of case: We discuss the case of 73 year old woman visited our surgery OPD with complaints of abdominal pain and vomiting. On physical examination, a swelling of approx. 6cm x 3cm size was visible and palpated on coughing and straining.  Clinical discussion: A laparoscopic IPOM procedure was utilized as our patient was experiencing multiple comorbidites (implying that the chances of postoperative wound contamination was high), and since she was taking antithrombotic drugs, a surgical technique with an insignificant dissection and minimal bleeding was the most suitable.  Conclusion: When fixing incisional hernias in a patient with multiple comorbidities, techniques like IPOM Plus with minimal bleeding and dissection becomes most suitable.